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Conference Registration Form
Date Sunday, July 15th, 2012 @ 9:00 AM
Address
Hotel Nazionale
Piazza di Montecitorio
Rome, Italy
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Name
First name
Last name
Email
*
(e.g. john@example.com)
What access pass would you like to purchase?
Bronze - $199.95
Silver - $299.95
Gold - $399.95
Which sessions do you plan on attending?
Session 1
Session 2
Session 3
Session 4
Will you be staying overnight?
Yes
No
Would you like us to email you updates and information on future conferences?
Yes
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